DENTAL PATIENT REGISTRATION FORMS: MURFREESBORO TN

For your convenience you may print our forms, fill them out by hand, and turn it in during your visit. Should you have questions, please feel free to contact us at (615) 890-0474.

Registration Form
Patient Dental History
Patient Medical History
Financing – Care Credit
Financing – Lending Club

While we accept most insurance, there are times the cost for dental treatment exceeds that afforded by dental insurance. Many times, services are paid by cash, check, or credit card. If these options are not available, then we service our patients through Care Credit or Chase Health Advance. You can pay for your dental treatment up to 18 months at 0% interest!

Why Do We Need Dental Sealants?

We place dental sealants on back teeth to help prevent them from getting cavities. Posterior dentition (back teeth) have grooves on the chewing surfaces....

Why Does My Jaw Ache

Many of us have problems with our jaw. We get jaw aches and pains that make it difficult for us to eat, chew, swallow, and speak.  It can even lead to...

Can worn down teeth be restored

Many times patients have worn dentition such that their teeth look flat.  These teeth are so worn down that the inner part of the tooth, the dentin, is...

RICAFORT DENTAL GROUP, 1820 MEMORIAL BLVD., MURFREESBORO, TN 37129 615-890-0474

Hours of Operation:

Monday8:00am - 5:00pm
Tuesday8:00am - 5:00pm
Wednesday8:00am - 5:00pm
Thursday8:00am - 5:00pm